Individual provider Active NPI

Tricia Asuka Chang, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1376157677
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2592 Issued in NV
Practice address
3199 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3150
Phone
(702) 423-4855
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-2592 NV Primary

Addresses

Primary practice location

3199 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3150

Mailing address

3199 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3150
Phone (702) 423-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000686 NV Practitioner - Occupational Therapist in Private Practice 9234651027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2592NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC CurrentSince Jan 9, 2025 Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

601 N Pecos Rd
Las Vegas, NV 89101
Phone (702) 455-2202

3920 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 478-5541

9260 W Sunset Rd
Ste 204
Las Vegas, NV 89148
Phone (702) 339-8770

1306 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 339-8770

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1376157677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 E WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203150",
            "telephone_number": "702-423-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 E WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203150",
            "telephone_number": "702-423-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TRICIA",
        "middle_name": "ASUKA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "OT-2592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.